ATI RN
ATI Med Surg Quiz Questions
Question 1 of 5
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings should alert the nurse to the possibility of a postpartum complication?
Correct Answer: B
Rationale: A heart rate of 110/min is elevated and may indicate a postpartum complication such as hemorrhage, infection, or cardiovascular issues, requiring further assessment.
Question 2 of 5
A nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of the following is the priority nursing intervention at this time?
Correct Answer: C
Rationale: Palpating the uterine fundus is the priority to assess for uterine atony, a common cause of excessive bleeding, allowing immediate intervention if needed.
Question 3 of 5
A nurse is caring for a client who is 2 hr postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?
Correct Answer: C
Rationale: A fundus palpable to the right of the midline suggests bladder distention, which can displace the uterus and hinder contractions, increasing hemorrhage risk.
Question 4 of 5
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice?
Correct Answer: A
Rationale: Early feeding stimulates bowel movements, aiding bilirubin elimination, which helps prevent neonatal jaundice.
Question 5 of 5
A nurse is assessing a newborn the day after delivery. The nurse notes a raised, bruised area on the left side of the scalp that does not cross the suture line. How should the nurse document this finding?
Correct Answer: C
Rationale: A cephalhematoma is a collection of blood between the skull and periosteum, limited by suture lines, fitting the described finding.